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Job opening: Lead Health Insurance Specialist

Salary: $139 395 - 181 216 per year
City: Bethesda
Published at: Jun 03 2024
Employment Type: Full-time
This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Consumer Information and Insurance Oversight (CCIIO), Payment Policy and Financial Management Group (PPFMG), Division of Enrollment Payment Data (DEPD).

Duties

Ensure the organization’s strategic plan, mission, vision, and values are communicated to the team and integrated into the team’s strategies, goals, objectives, work plans and work products and services. Serve as a subject matter and technical expert and team lead responsible for enrollment payment data processing and reconciliation. Recommend improvements and modifications of operational policy and program operations in order to implement improvements in CMS programs.

Requirements

  • You must be a U.S. Citizen or National to apply for this position.
  • You will be subject to a background and suitability investigation.
  • Time-in-Grade restrictions apply.

Qualifications

ALL QUALIFICATION REQUIREMENTS MUST BE MET WITHIN 30 DAYS OF THE CLOSING DATE OF THIS ANNOUNCEMENT. Your resume must include detailed information as it relates to the responsibilities and specialized experience for this position. Evidence of copying and pasting directly from the vacancy announcement without clearly documenting supplemental information to describe your experience will result in an ineligible rating. This will prevent you from receiving further consideration. In order to qualify for the GS-14, you must meet the following: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-13 grade level in the Federal government, obtained in either the private or public sector, to include: (1) Lead a project/team to ensure program integrity (such as identifying priorities, assigning tasks, ensuring priorities are implemented, reporting to leadership on the status of those priorities and coaching less experienced team members); (2) Serve as a technical/subject matter expert responsible for enrollment payment data processing, such as enrollment reconciliation; (3) Implement national health insurance programs, such as Affordable Care Act (ACA) programs, using analytical skills and abilities when planning, developing, and/or evaluating the operation and delivery of these programs to the public; AND (4) Represent the organization in the health care community to include audiences such as issuers, government officials, contractors, attorneys and other health policy advocates through written materials and oral communication. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. Time-in-Grade: To be eligible, current or former Federal employees and current or former Federal employees applying under the VEOA eligibility who hold or have held a permanent General Schedule position in the previous year must have served at least 52 weeks (one year) at the next lower grade level from the position/grade level(s) to which they are applying. Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/12430601

Education

No education requirement.

Contacts

  • Address Center for Consumer Information and Insurance Oversight 7500 Security Blvd Woodlawn, MD 21244 US
  • Name: CMS HR Inquiries
  • Email: [email protected]

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